Notice of Grant Opportunity
21st Century Community Learning Centers Program Competitive Grant: Cohort 5 – Year 1/5
September 1, 2008 – August 31, 2009
Lucille E. Davy Commissioner
Barbara Gantwerk Assistant Commissioner Division of Student Services
Susan B. Martz Director Office of Educational Support Services Division of Student Services
February 2008
Application Due Date: April 24, 2008
NEW JERSEY DEPARTMENT OF EDUCATION P.O. Box 500 Trenton, NJ 08625-0500
http://www.state.nj.us/education STATE BOARD OF EDUCATION
RONALD K. BUTCHER ………………………………………….. Gloucester President
ARCELIO APONTE ……….……………………………………… Middlesex Vice President
KATHLEEN A. DIETZ ……………………………………………. Somerset
DEBRA ECKERT-CASHA…………………………………………Morris
EDITHE FULTON ………………………………………………….Ocean
JOSEPHINE E. HERNANDEZ ……………………………………. Union
FREDERICK H. LAGARDE, JR....………………………………... Passaic
ERNEST P. LEPORE ……..………………………….……………. Hudson
KENNETH J. PARKER …………………………………………… Camden
DOROTHY S. STRICKLAND…………………………….……..…Essex
Lucille E. Davy, Commissioner Secretary, State Board of Education
It is a policy of the New Jersey State Board of Education and the State Department of Education that no person, on the basis of race, color, creed, national origin, age, sex, handicap or marital status, shall be subjected to discrimination in employment or be excluded from or denied benefits of any activity, program or service for which the department has responsibility. The department will comply with all state and federal laws and regulations concerning nondiscrimination. TABLE OF CONTENTS
When responding to this Notice of Grant Opportunity (NGO), applicants must also access the "Discretionary Grant Application (DGA)" for additional information governing the grant program. See www.nj.gov/njded/grants/ or call the Application Control Center (ACC) at 609-633-6974.
SECTION 1: GRANT PROGRAM INFORMATION PAGE 1.1 Description of the Grant Program 1 1.2 Eligibility to Apply 2 1.3 Statutory/Regulatory Source and Funding 6 1.4 Dissemination of this Notice 7 1.5 Technical Assistance 7 1.6 Application Submission 7 1.7 Reporting Requirements 8 1.8 Assessment of Statewide Program Results 9
SECTION 2: PROJECT GUIDELINES 2.1 Project Design Considerations 11 2.2 Project Requirements 12 2.3 Budget Design Considerations 18 2.4 Budget Requirements 18
SECTION 3: COMPLETING THE APPLICATION 3.1 General Instructions for Applying 22 3.2 Evaluation of Applications 22 3.3 Application Component Checklist 23
NGO APPENDICES: STANDARD COMPETITIVE APPLICATION (SCA)
SCA APPENDICES: Appendix 1 – Documentation of School Eligibility Schoolwide and Low-Income Appendix 2 – Verification of School Collaboration Appendix 3 – 21st CCLC Program Statement of Assurances Appendix 4 – Documentation of Nonpublic School Participation Appendix 5 – Nonpublic Equitable Participation Summary and Affirmation of Consultation Form Appendix 6 - Matching Funds Summary and Expenditure Report form Appendix 7 – Directions to Technical Assistance Appendix 8 – Verification of Partnership Appendix 9 – A Strategy to Safe Streets and Neighborhoods Appendix 10 – 21st CCLC Project Staff Responsibilities Appendix 11 – List of National, Statewide and Regional Conferences Appendix 12 – Documentation of Required Collaboration Appendix 13 – Budget Forms Appendix 14 - Board Resolution to Apply Appendix 15 - NJDOE Statement of Assurances SECTION I: GRANT PROGRAM INFORMATION
1.1 DESCRIPTION OF THE GRANT PROGRAM
Under Title IV, Part B of the No Child Left Behind (NCLB) Act of 2001, 21st Century Community Learning Centers (21st CCLC) are defined as centers that offer academic remediation and enrichment activities in tandem with a broad array of other enrichment activities in the areas of arts and culture, youth development, physical activity and parental involvement to students and their adult family members when school is not in session. The purpose of the 21st CCLC Program is to supplement the education of students in grades 4-12, who attend schools eligible for Title I schoolwide programs or schools where a minimum of 30% of students are from low- income families. The program aims to assist students in attaining the skills necessary to meet New Jersey’s Core Curriculum Content Standards. Therefore, all 21st CCLC programs must provide participating students with academic enrichment opportunities that complement the regular school day.
It is anticipated that students actively participating in the 21st CCLC Program will improve school attendance and academic performance while also developing positive student behavior and engaging relationships with caring adults. Through the 21st CCLC grant, New Jersey has afforded the opportunity to provide comprehensive afterschool programs to approximately 15,000 school-age children and 900 of their family members. The Afterschool Alliance reports that over 350,000 children in New Jersey are unsupervised during the afterschool hours. Therefore, it is important for NJ to continue to provide support for the establishment or expansion of comprehensive out-of-school time programs.
New Jersey’s Vision
In September 2007, Governor Corzine announced his Strategy for Safe Streets and Neighborhoods. The funding offered in this Notice of Grant Opportunity (NGO) is meant to provide support to localities interested in implementing the strategies found in the Governor’s initiative. The provision of services through 21st CCLC programs throughout the state will:
Increase students’ academic achievement by offering high-quality supplemental services in core academic areas such as reading and mathematics, and enrichment activities including arts and culture, youth development, and physical activity;
Increase positive student behavior by infusing character education into the program;
Engage adult family members of participating students through participation in an array of parental involvement activities; and
Establish and maintain partnerships and collaborative relationships to ensure participants’ access to all available resources through coordinated efforts.
1 Currently, New Jersey’s 21st CCLC Program is comprised of 55 grantees, providing services at 148 sites throughout the state. Grantees include local education agencies (LEAs), non-profit, for-profit, community-based, and faith-based organizations, operating solely or in partnership with other agencies.
Grant Program Period
Based on the availability of federal resources this five-year grant program will begin September 1, 2008 and end August 31, 2013. The initial award year will be September 1, 2008 through August 31, 2009. The project periods for the subsequent award years are:
Year 2: September 1, 2009 – August 31, 2010 Year 3: September 1, 2010 – August 31, 2011 Year 4: September 1, 2011 – August 31, 2012 Year 5: September 1, 2012 – August 31, 2013
Awards will be issued on an annual basis with the NJDOE reviewing program performance through on-site and desk monitoring, reports, local and state level evaluations, adequate and efficient use of federal funds and a continuation application to determine continued program funding.
1.2 ELIGIBILITY TO APPLY
The 21st CCLC Program is a limited competitive grant program open to all public or private agencies, local education agencies (i.e. charter schools, educational service commissions, jointure commissions and special services school districts), non-profit organizations, city or county government agencies, faith-based organizations (including religious private schools), institutions of higher education and for-profit agencies, but limited to the those that will serve students in any grade level between 4th and 12th who primarily attend schools eligible to participate in Title I schoolwide programs or schools that serve a high percentage of students from low income families. Additionally, the families of those students must also be served through the community learning center. The applicant agency may submit only one application. Applicants must serve schools that satisfy either the schoolwide eligibility or the low income eligibility. Those agencies with 21st CCLC grant agreements terminated by the NJDOE, or whose continuation eligibility was denied, are ineligible to apply.
To meet eligibility requirements, agencies must apply in one of the categories below:
Category A Applicants: Agencies that have never received a 21st CCLC grant and are applying for funding to support a new 21ST CCLC grant program are eligible to compete for funding.
Category B Applicants: Agencies currently in their fifth and last year of 21st CCLC funding are eligible to reapply and compete for funding. Eligible Category B applicants are limited to the following agencies:
2 1. Atlantic Care Behavioral Health (Atlantic City School District) 2. Cliffside Park School District 3. Communities in Schools of NJ (Camden City Public Schools) 4. Easter Seals of NJ (Keansburg School District) 5. Englewood Public School District 6. Gloucester City Public Schools 7. Hackensack School District 8. Hoboken School District 9. New Brunswick School District 10. Plainfield Public Schools 11. Passaic Public Schools 12. Queen City Academy Charter School 13. Salem County Vocational Technical Schools
Schoolwide Eligibility
The applicant agency may serve schools that have been identified as a Title I schoolwide program through the Department of Education, Title I Program Planning Office. Applicants must have the chief school administrator sign the Documentation of School Eligibility, Schoolwide and Low-income form (Appendix 1) and submit it with the application. For the 2007-2008 approved list of schools designated as schoolwide programs, please visit the following website: http://www.nj.gov/njded/title1/program/programs.shtml.
Low-income Eligibility
For those applicants choosing to serve students attending schools with a high percentage of low income families, the school must have a minimum of 30% of its student population from low income families. Low income families are defined as those families whose children receive free lunch and/or free milk. Applicants must have the Chief School Administrator sign the Documentation of School Eligibility, Schoolwide and Low-income form (Appendix 1) and submit it with the application.
Conditions of Award
Once the New Jersey Department of Education (NJDOE) has found the applicant eligible by achieving the eligibility requirements listed above, applicants must also satisfy the following conditions of award by documentation of collaboration, child care licensing (if applicable) assurances and nonpublic participation as detailed below:
School Collaboration
As required in the NCLB legislation section 4204(b)(2)(H), agencies applying for local grants must provide an assurance that its program was developed and will be carried out in active collaboration with the schools the students attend. Applicants must complete the Verification of School Collaboration form found in Appendix 2. Submission of this form is a condition of
3 award under this grant program. If the applicant agency is an LEA, this form is not required for the eligible collaborating schools within the applicant LEA.
Child Care Licensing
Pursuant to N.J.S.A. 30:5B-1 to 15, the New Jersey Department of Education will require all programs that are managed and staffed by a non-LEA agency and who service children up to age 13 to be a licensed Child Care Center prior to receiving an executed award. Submission of a copy of the agency’s child care license or receipt of a temporary license is a condition of award under this grant program. For additional information, you may contact the Department of Children and Families, Office of Licensing at 877-667-9845.
Assurances
In an effort to maintain consistency throughout all NJ 21st CCLC programs, all applicants must read and sign the 21st CCLC Program Statement of Assurances (Appendix 3). Submission of this form is a condition of award under this grant program.
Providing services to eligible nonpublic school students, teachers and other personnel
The No Child Left Behind (NCLB) legislation, Section 9501, requires all applicants for certain discretionary grant programs to include and provide services to eligible nonpublic school students and/or teachers. To determine if this grant program is governed by this requirement, check the Application Components chart in this document. If the chart includes a checkmark alongside the Documentation of Nonpublic School Participation form and the Nonpublic Equitable Participation Summary and Affirmation of Consultation form, then this grant program has a nonpublic school requirement.
Nonpublic School Eligibility
Nonpublic school eligibility is based on the location of the nonpublic school(s), the design of the specific grant program and the needs of the nonpublic school students and teachers. The needs must be able to be met via the discretionary grant program’s specific program design. ** Generally, the nonpublic school must be located within the communities or geographic boundaries of the applicant agency or partner agency if applicable. According to the parameters of the grant program and available funding, the applicant agency determines the area to be served.
**Example: If the design of the grant program is to provide supplemental math instruction for seventh and eighth grade students, then the nonpublic school(s) must serve seventh and eighth grade students who are in need of supplemental math instruction and must be in the geographic area served by participating public schools. (NOTE: See section on Timely and Meaningful Consultation below.)
4 Timely and Meaningful Consultation
For assistance in identifying all of the nonpublic schools located within its geographic boundaries, the applicant should visit the Department’s website at http://www.nj.gov/njded/nonpublic which includes a list of nonpublic schools by locality as well as Frequently Asked Questions (FAQ) with suggestions on how to contact the schools and how to document those contacts.
The applicant agency is responsible to identify all appropriate nonpublic schools and to contact the appropriate nonpublic school officials to begin the consultation process. The nonpublic school(s) must be given a genuine opportunity to participate in the grant program. The NCLB legislation requires all applicants to conduct timely and meaningful consultation with the appropriate nonpublic school officials prior to the development of the local project’s grant application and prior to any decision being made regarding the design of the local project. that could affect the ability of nonpublic school students, teachers and other education personnel to receive benefits. Consultation must continue throughout the implementation and assessment of activities.
Listed below are the considerations that must be taken into account by all applicants when assessing the needs of the nonpublic school students and teachers and when determining in consultation with the nonpublic school(s) whether those needs fit the grant’s program design. Consultation generally must include discussion on such issues as:
which children will receive benefits under the project and how their needs will be/have been identified; what services will be provided; how, when, where, and by whom the services will be provided; how the services will be assessed and how the results of the assessment will be used to improve those services; the amount of funds available for services; and how and when decisions about the delivery of services will be made.
NOTE: A unilateral offer of services by an applicant agency with no opportunity for discussion on the part of the nonpublic school representative is not adequate consultation.
Consistent and Comparable Services and Benefits
The NCLB legislation requires that the participation and involvement of the nonpublic school partners and participants be consistent (closely parallel, be similar) with the number of eligible children enrolled in nonpublic elementary and secondary schools within the geographic boundaries of the applicant agency or partner agency if applicable. The grant-related services and benefits must be comparable (having a similar effect) to those provided to public school children and teachers participating in the program, and
5 they must be provided in a timely manner. All services to nonpublic school students and teachers must be secular, neutral, and non-ideological.
The Education Department General Administrative Regulations (EDGAR) §76.652 states that the applicant agency shall give appropriate representatives a genuine opportunity to express their views regarding each matter subject to the consultation requirements outlined above. By following this course of action, a successful consultation should produce programs that will:
allow for the orderly and efficient integration of the services for the nonpublic school students/teachers into the operation of the local project; result in benefits which have similar effects for both the applicant and the nonpublic school students and/or teachers; and be appropriate for the specific grant program.
Grant Application Nonpublic School Requirements
Forms The applicant must submit the signed Documentation of Nonpublic School Participation form (Appendix 4), and the signed Nonpublic Equitable Participation Summary and Affirmation Of Consultation (Appendix 5) with the grant application. These two forms must accompany the application and be signed and dated by both the applicant Chief School Administrator (CSA) and the nonpublic school official where appropriate. An applicant agency may be disqualified if it fails to include these forms in its grant application.
Submission of Appendices 4 and 5 are a condition of award under this grant program.
Program and Budget Requirements
For program and budget requirements affecting the use of funds for nonpublic schools see the Program Requirements and Budget Requirements sections of this NGO.
After Receiving the Grant Award and Throughout the Grant Program
Comprehensive program planning must continue throughout the implementation and the assessment of the grant activities.
Resources
Go to the department’s nonpublic website address: http://www.nj.gov/njded/nonpublic. There you will find, among other things, links to frequently asked questions and a search of nonpublic schools.
6 NOTE: NJDOE reserves the right to reject any application not in conformance with the requirements of this NGO. Failure to submit any required documentation may result in the elimination of the application from award consideration.
1.3 STATUTORY/REGULATORY SOURCE AND FUNDING
The applicant’s project must be designed and implemented in conformance with all applicable State and Federal requirements. The 21st Century Community Learning Center Program is one hundred percent (100%) federally funded under the Title IV, Part B of the No Child Left Behind Act. New Jersey’s 21st Century Community Learning Center (21st CCLC) Program will provide approximately $2 million to fund programs that will offer services in community learning centers for before school, after school, summer, weekends and/or holidays. Final awards are subject to the availability of Title IV funds. The NJDOE will award a minimum of $75,000 and a maximum of $535,000 for a 12 month program year.
In an effort to provide adequate funding for quality programming while promoting prudent operations and expenditures, the NJDOE has established a maximum award amounts based on the number of proposed students served.
Level of Service Maximum eligible amount 30 - 74 students 300,000 75 -100 350,000 101 - 150 425,000 151 - 200 500,000 200 + 535,000
Actual number of students served is subject to monitoring and verification by the department. Grant awards will be reduced if the level of service proposed is not met.
Regardless of the size of the grant proposed costs, the budget detail forms must be reasonable and necessary to carry out the program, and directly link to the size and scope of the program and to specific goals, objectives, and activities.
These funds can be used only to supplement and not supplant, federal, state or local funds. Failure to demonstrate the aforesaid will result in the reduction of the requested award amount. Final awards are subject to the availability of Title IV, Part B funds. If balances are available, or if additional funds become available during the fiscal year, the next highest scoring application(s) above 65 points may become eligible for an award.
There are no matching requirements in the first year however, NJDOE reserves the right to change programmatic or fiscal requirements in subsequent years. Applicants are encouraged to demonstrate their ability to transition from primary reliance on federal funds to becoming self-sustaining programs. Applicants that document a minimum of 10% match of the total program costs requested will receive five (5) additional points. Matching funds may not exceed the
7 amount of the grant award and cannot be derived from other Federal or State funds; however, all or any portion of the match may be in the form of in-kind contributions.
In order to receive the five additional points, applicants must submit the Matching Funds Summary and Expenditure Report form (Appendix 6) with their application. Once an applicant reports any matching funds it is expected that they would achieve the same level of match for the duration of the 5 year grant.
NOTE: Applicants are required to maintain the level of service identified in year one for each of the subsequent years of funding.
1.4 DISSEMINATION OF THIS NOTICE
The Office of Educational Support Services (OESS) will make this notice available to all current 21st CCLC grantees based upon the eligibility requirements outlined in Section 1.2. Additionally, the OESS will disseminate this notice to the county superintendents of the counties in which the eligible agencies are located. Grantees may access additional copies of the NGO at the department’s website: http://www.state.nj.us/njded/grants/discretionary/.
1.5 TECHNICAL ASSISTANCE
Applicants may attend a technical assistance training, which will be held at the Forensic Center on March 12, 2008 from 9:30 a.m. - 12:30 p.m. Directions are attached in Appendix 7. Registration will be limited to two representatives per applicant agency. Grantees must register online at: www.education.state.nj.us/events.
1. 6 APPLICATION SUBMISSION
The NJDOE administers discretionary grant programs in strict conformance with procedures designed to ensure accountability and integrity in the use of public funds and, therefore, will not accept late applications.
Applicants must complete the Standard Competitive Application (SCA), which follows this NGO. All forms referenced in this NGO can be found in the Standard Competitive Application.
The responsibility for a timely submission resides with the applicant. Applicants must submit an original and four (4) copies of the completed Standard Competitive Application (SCA) and all applicable forms, to the Application Control Center (ACC) no later than 4:00 P.M. on Thursday, April 24, 2008. Without exception, the ACC will not accept, and the Office of Grants Management cannot evaluate for funding consideration, an application received after this deadline. An applicant agency will lose the opportunity to be considered eligible for an award if the application is received after the due date.
The original and four (4) copies of the application must be mailed or hand-delivered to the ACC. Postmarks are not acceptable evidence of timely submission. Receipt by the due date and time is required. Applicants are encouraged to obtain a dated receipt from the ACC or to sign in upon delivery to verify DOE receipt. Complete applications are those that include all elements listed in
8 Section 3.3, Application Component Checklist of this notice. Applications received by the due date and time will be screened to determine whether they are, in fact, eligible for consideration. The Department of Education reserves the right to reject any application not in conformance with the requirements of this NGO. Applications submitted by fax will not be accepted under any circumstances.
To ensure timely delivery, applicants are encouraged to:
Hand-deliver the application to 100 River View Plaza, Trenton, New Jersey, which is located next to the Mercer County Waterfront Park on Route 29, between the hours of 8:30 A.M. and 4:00 P.M., Monday through Friday (excluding state holidays) and obtain a dated receipt; or Send the application by Certified Mail or Return Receipt; or Arrange for delivery by an overnight courier service to ensure timely delivery.
The mailing and courier service addresses are listed in the chart below:
Mailing Address Courier Service Address Application Control Center Application Control Center New Jersey Department of Education New Jersey Department of Education 100 River View Plaza 100 River View Plaza P.O. Box 500 Trenton, NJ 08625 Trenton, NJ 08625-0500
1.7 REPORTING REQUIREMENTS
Grant recipients are required to submit quarterly program and fiscal progress reports. For additional information regarding post-award reporting requirements, please review the Grant Recipient’s Manual for Discretionary Grants, Part Seven, which is available online at http://www.nj.gov/njded/grants/discretionary/management/manual.shtml.
Program and fiscal reports for this program will be due as follows:
Report Quarterly Reporting Period Due Date_____ 1st Quarter September 1, 2008 – December 31, 2008 January 16, 2009 2nd Quarter September 1, 2008 – March 31, 2009 April 16, 2009 3rd Quarter September 1, 2008 – June 30, 2009 July 16, 2009 Final September 1, 2008 – August 31, 2009 October 30, 2009
Please mail all program and fiscal reports to:
Application Control Center (ACC) New Jersey Department of Education 100 River View Plaza P.O. Box 500
9 Trenton, NJ 08625-0500
Additional Program Reports Please refer to Section 1.8 for additional information on the Program Evaluation Report.
Program Evaluation Report Reporting Period Due Date Interim Evaluation Report September 1, 2008 – March 31, 2009 April 16, 2009 Final Evaluation Report September 1, 2008– August 31, 2009 October 30, 2009
Please submit program evaluation reports directly to your program officer at:
(Erika Kelley or Ebony Cintron) Office of Educational Support Services New Jersey Department of Education 100 River View Plaza P.O. Box 500 Trenton, NJ 08625-0500
In addition to the reports listed above, the NJDOE will require all applicants to enter data via the Program Activity Review System (PARS21), a web-based data collection system. Due to the intensity and accuracy necessary to enter data into PARS21, applicants must regularly enter data, with no more than a 30-day lapse. Therefore, all data must be entered by the 15th of each month for the prior month (i.e. All data for October must be entered by November 15th). With the available reports from PARS21 and any other data needed, grantees will be required to enter data directly into the federal data-collection system, Profile and Performance Information Collection System (PPICS). Due to PPICS system availability, data must be entered by September 2009 for the 2008-2009 program year.
NOTE: FINAL PAYMENTS WILL BE WITHHELD UNTIL ALL FINAL REPORTS HAVE BEEN SUBMITTED AND APPROVED AND PARS21 AND PPICS DATA HAVE BEEN ENTERED AND VERIFIED BY NJDOE.
1.8 ASSESSMENT OF STATEWIDE PROGRAM RESULTS
The NJDOE’s comprehensive evaluation of this grant program is comprised of PARS21 data, quarterly reports, Profile and Performance Information Collection System (PPICS) data, on-site monitoring and local-level evaluations. The first of this multi-tiered process, will assess statewide program impact by measuring the progress of local programs based upon data submitted via PARS21, required quarterly reports and data collected through the federal data collection system (PPICS). Grantees must regularly enter PARS21 data, with no more than a 30- day lapse. With the available reports from PARS21, grantees must enter PPICS data only once a year. Final payments will be withheld until all PARS21 and PPICS data have been certified by the NJDOE. On-site monitoring will also be considered when evaluating progress for those grantees monitored within the program year.
10 In addition, the NJDOE will employ an external evaluator to study the overall impact of the program statewide. During the grant period, the evaluator will conduct site visits, interview program staff and participants, and analyze qualitative and quantitative data to determine the correlation between program participation and student achievement. Additionally, the evaluator will assess data to identify best practices for out-of-school time programs. 21st CCLC grantees are expected to cooperate with the statewide evaluator during this grant period.
Furthermore, the NJDOE will use data obtained from grantees’ local program evaluations to determine if grantees utilize the results of the local evaluation to generally refine, improve, and strengthen programs and to refine the local performance measures. Each agency must employ an external program evaluator, who will be responsible for, but not limited to, the following:
Evaluating local program administration and performance, based upon the state’s goals and objectives and the grantees’ indicators; Providing recommendations for the purpose of ensuring program improvement; Reviewing and analyzing PARS21 data; Assisting program staff in designing and/or revising program and record-keeping forms and/or systems; Generating interim and final evaluation reports; and Attending all mandated NJDOE evaluator trainings.
The data obtained through the multi-tier comprehensive evaluation will be used to inform the NJDOE’s monitoring of programs and reporting to the United States Department of Education. Grantees will be required to comply with all components of the comprehensive evaluation plan.
NOTE: Applicants must obtain and submit at least one quote for the external program evaluator with their application for funding. The quote must include information regarding the scope of the evaluation, deliverables, and costs. Additionally, applicants must attach the evaluator’s resume or curriculum vita.
11 SECTION 2: PROJECT GUIDELINES
This section is designed to provide the applicant with the framework within which it will plan, design, and develop its proposed program to adhere to the requirements of this NGO. Before preparing the application, potential applicants are advised to review the NGO in its entirety to ensure a full understanding of the NJDOE’s vision, purpose and requirements of the program. Additionally, the information contained in Section 2 will complete the applicant’s understanding of the specific considerations and requirements that programs are to achieve, measure, and/or address.
2.1 PROJECT DESIGN CONSIDERATIONS
The vision for New Jersey’s 21st CCLC Program is to develop high quality out-of-school time programs through community learning centers that provide services not just to the child but to the entire family unit. Considerable thought and planning between the applicant agency and its partners, if applicable, must occur to ensure a correlation between the State’s vision, purpose (presented in Section 1.1) and the design of each local project. By collaborating and coordinating the resources of schools, outside agencies, community centers, corporations, churches and/or other community groups, programs expand the benefits available to participants, allow for more efficient use of resources and increase the chances of sustainability as a result of the investment that each agency/group/organization makes to the program. Regular attendance by all students is expected in order to achieve significant improvement in student outcomes. Programs must carefully plan and develop a program that encourages daily participation.
Partnerships and Collaborations Applicants must establish collaborations with local organizations and are strongly encouraged to establish partnerships with agencies that provide services to enhance implementation. Partnering and collaborating with local organizations to expand the benefits available to participants allows for more efficient use of resources. Moreover, there is an increased likelihood of sustainability as a result of the investment that each organization contributes. Partnerships and collaborations must be formed with key organizations that provide high-quality services, which are directly related to 21st CCLC’s core program components.
The following factors are essential to strengthening the relationships and facilitating regular communication between the applicant and its partners and collaborators:
Regular meetings between the applicant and its partners and/or collaborators to review progress toward program goals and each agency’s continued role and responsibility; Recognition of mutual accountability among the applicant and its partners and/or collaborators to maximize progress towards achieving program goals; and Expansion of the number of collaborators as programs enter each succeeding year in order to increase available resources and services.
12 Priority Consideration
A. Pursuant to federal requirements, the State Education Agency (SEA) must give priority to applicants if they: propose to serve students who attend schools identified as “in need of improvement” under Title I, including their families; and are submitted jointly between at least one LEA receiving funds under Title I, Part A and at least one public or private community organization. Applicants may receive five (5) additional points for this priority. Therefore, applicants wishing to apply in partnership must submit the Verification of Partnership form (Appendix 8). Appendix 8 is required only when applying for this priority consideration. The organization designated as the applicant agency must remain the applicant agency and assume all fiscal and program oversight. For a listing of schools in need of improvement, please visit: www.nj.gov/njded/title1/accountability/profiles/06 or contact the Title I Office of Program Planning at 609-943-4283. Applicants are NOT required to apply for this priority.
B. In support of the Governor’s Safe Streets and Neighborhoods Initiative, applicants may receive five (5) additional points contingent upon the following criteria: applicants propose to establish or expand an afterschool program within any of the cities indicated in Appendix 9 and must provide activities in one of the following areas: programs to reduce truancy, gang resistance or gang prevention programs or career/job development for youth. Should an applicant wish to receive the additional five points, a description of the activity must be included in the project description and the project activity plan. Applicants are NOT required to apply for this priority.
2.2 PROJECT REQUIREMENTS
Each eligible organization that receives an award may use the funds to carry out a broad array of before and after-school activities (including activities during summer/winter/spring recess periods) that advance student achievement and social development. To maintain consistency with the regulations set forth by the USDOE and NJDOE’s belief that there are diverse and multiple paths for student achievement, the NJDOE has established minimum program requirements that must be met by all applicants.
The implementation of these core components is crucial to the success of the New Jersey’s 21 st CCLC Program in its effort to improve student academic achievement. All applicants must comply with the following 19 program requirements and address these areas within their application:
1. Target Population Applicants may serve students in grades 4-12 and adult family members of those students. Students in grades K-3, as well as community members at large, are ineligible to participate in the 21st CCLC program. 21st CCLC funds can not be used to provide services to K-3.
13 2. Program Components The department’s expectation is that all 21st CCLC programs will be comprehensive in nature. Grantees must implement at least one activity in each of the following six (6) categories listed below.
Required Components Sample Activities Academic Remediation Remedial education in core academic content NOTE: When providing academic remediation and areas (language arts and mathematics) tutoring in core academic areas [language arts and Tutoring in language arts and math mathematic], programs must employ strategies based on scientifically-based research. Programs may use computer-aided instruction to supplement academic remediation and enrichment; however, this approach should not be the sole method of instructional service delivery. Academic Enrichment Integrated science activities, such as those NOTE: Academic enrichment activities expand on offered in the 21 st Century Afterschool Science students' learning in ways that differ from the Project methods used during the school day. These activities are interactive and engaging for the Cooking and culinary arts student while imparting knowledge and skills. Comic book projects Financial literacy Cultural and Artistic Visual and performing arts activities Cultural enrichment field trips Positive Youth Development Drug and violence prevention programs Gang Prevention and Gang Resistance programs Counseling, mentoring, and health education Community Service and Service Learning Health, Nutrition, Fitness and Physical Organized team and individual sports Activity Non-traditional fitness activities such as martial arts, yoga, ballroom and hip-hop dance NOTE: In developing activities in this category, Promotion of healthy eating habits grantees may consider hosting activities that Health fairs, walking school buses, community support existing programs (ie. May is National Bike Month and Bike to Work Day; June is National bike and foot races, environmental outings and Outdoors Month and National Trails Day; July is nature walks, etc. Park and Recreation Month, and October is School/community gardens International Walk to School Month). Instructing students on use of new food guide pyramid Parental Involvement Literacy and education activities Participation in program-sponsored family activities Health and nutrition education Social service referrals and resources Parents to serve as a program volunteers or advisory board members Parenting workshops
14 School districts are required to develop codes of student conduct that are based on locally determined and excepted core ethical values adopted by the district Board of Education according to N. J. A. C. 6A:16-7.1. Programs must ensure that they support their partnering district’s code of student conduct and core ethical values. Programs must use these as the basis for establishing behavioral expectations and discipline system. Applicants must describe how social emotional and character development will be infused into the program. For more information on social-emotional character development, applicants should contact the New Jersey Center for Social and Character Development at http://www.rucharacter.org or (732) 445-7504.
3. Service Start Date In an effort to ensure quality and continuity of care, the NJDOE is requiring all applicants to have in place a full complement of services available to all participants as of October 1, 2008.
NOTE: Failure to begin by this date will result in a withholding of grant payments and may result in a reduced award or termination of the grant.
4. Program Hours of Operation
Programs operating a before-school component during the academic year must operate for at least one (1) hour per day, five (5) days per week and conclude before the school day begins. Program scheduling and days of operation must coincide with the regular school- year. Afterschool programs are required to operate for at least three (3) hours per day, five (5) days per week, during the academic school year. Afterschool programs must commence when the school day officially ends. Program scheduling and days of operation must coincide with the regular school-year. If offered, summer programs are required to operate for at least four (4) hours per day, five (5) days per week for a minimum of four (4) weeks. Programs that propose to operate on weekends and/or other non-school days are required to operate a minimum of four (4) hours per day. NOTE: For grantees operating multiple sites, please note that the requirements listed above must be applied to each program site.
5. Advisory Board Grantees are required to maintain an advisory board. Advisory boards should be comprised of stakeholders including partners and collaborators, parent and student representatives, and other interested parties. The advisory board should support the agency in achieving its program goals and objectives. Board members should offer guidance in the areas of program implementation, evaluation, and sustainability of the 21st CCLC program. Moreover, it is required that the advisory board meet regularly, at a minimum of once per quarter.
6. Staffing and Certification Requirements In order to effectively perform the administrative responsibilities of this federally-funded grant program, the NJDOE requires that each 21st CCLC program adhere to the minimum requirements
15 outlined below. Applicants have some flexibility in the establishment of their staffing patterns; however, the NJDOE will review and approve the management plan, including staffing, based on what is necessary and reasonable to implement the project and adhere to program requirements. The NJDOE reserves the right to require changes based on this review.
All programs are required to identify a project director who will serve as the agency’s primary point of contact with the NJDOE program officer responsible for the grant program. This person must be employed by the applicant agency and is responsible for managing the administrative functions of this program.
For programs that service over 150 students, a full-time project director is required.
For programs that service less than 150 students, a minimum of a part-time project director is required.
Project directors, whether full-time, part-time, funded by 21st CCLC funds or not, are required to fulfill all responsibilities described in Appendix 10.
Programs must utilize certified teachers to implement the academic remediation component activities. All teachers providing instruction in the math and language arts must be certified in the content area in which they teach.
One site coordinator is required at each site. The site coordinators, whether funded by 21st CCLC funds or not, must fulfill all responsibilities detailed in Appendix 10 for their respective program sites. A teacher or part-time project director may serve as the site coordinator, if the person works a sufficient number of hours to fulfill all of the responsibilities.
Data entry staff must be assigned specific responsibility for entering data into PARS21 and PPICS and completing other administrative duties detailed in Appendix 10. Other project staff may fulfill data entry activities, if employed for a sufficient number of hours to fulfill all of the responsibilities.
7. Professional Development Professional development requirements for applicants include the following:
The 21st CCLC administrator and one program staff person are required to attend at least one national conference and at least one regional, state or local conference related to out- of-school time programming. It is expected that conference attendees will turn-key the information to other 21st CCLC program staff and incorporate relevant best practices into the program. Applicants may allocate funds for expenses related to consultant fees, registration costs, travel, meals, and lodging. Refer to Appendix 11 for a list of national, statewide and regional conferences.
16 Grantees are required to conduct a minimum of one in-service training in which all program staff are required to attend. Training topics must be aligned with the goals and objectives of the 21st CCLC program and should be tailored to each program’s areas of focus.
Grantees are required to attend all NJDOE project directors’ meetings, trainings, and technical assistance workshops.
All 21st CCLC grantees operating within Abbott districts are required to obtain Abbott Division approval for all travel, in accordance with NJDOE policy.
8. Off-site Educational Activities (Field Trips) All off-site activities must be educational in nature, age-appropriate, and relevant to the goals and objectives of the 21st CCLC program. Applicants must submit with the application, a detailed description of anticipated off-site educational activities. The description should include information regarding the specific activity and the educational benefit of the proposed activity. This information should be included in the project description section and included in the program site chart, under the appropriate component(s). All field trips not documented in the approved grant application require prior approval from the grantee’s assigned program officer, after receiving the grant award.
9. Evaluation Grantees must comply with all components of the comprehensive evaluation plan, as described in Section 1.8.
10. Transportation Grantees are required to provide transportation for participants to and from the program site and home or pre-arranged site. In the event that students are transported to a location other than their home, grantees must obtain written parental consent. Grantees must also obtain written parental consent for students who walk to and from the program site.
NOTE: Grantees must transport students in accordance with all applicable state laws and regulations.
11. Emergency Protocols Grantees must adhere to the following emergency protocols and maintain the following documentation at each program site:
An emergency readiness plan that includes policies and procedures for early dismissal, inclement weather, health emergencies, and other urgent situations;
Emergency contact information, which includes a minimum of two emergency contact persons, other than the parent/ guardian;
A list of persons, authorized by the parents/ guardians, to whom the site can release the child;
17 A procedure for verifying the identity of the person to whom the child is released, if other than the parent/ guardian; and
Information detailing chronic health conditions for all participants.
NOTE: All information should also be readily accessible when program activities occur off-site.
12. Nonpublic Participation Applicants serving students in nonpublic schools must consult with participating nonpublic schools prior to preparing the application, as documented by the Documentation of Nonpublic School Participation (Appendix 4) and the Nonpublic Equitable Participation Summary and Affirmation of Consultation (Appendix 5) forms. The nonpublic school the student attends must either be in the geographic vicinity of the other schools that will be served by the applicant, or the private school student must attend a school located near a proposed 21st CCLC site. Nonpublic school students are eligible to participate on an equitable basis. Additionally, applicants must maintain active collaboration and communication with the appropriate nonpublic school officials throughout the program year.
13. Background Checks All applicants are required under state law to submit Child Abuse Record Information (CARI) forms to the Department of Children and Families, Office of Licensing, for all staff members and volunteers who regularly interact with student participants. Additionally, all applicants are required under state law to submit Criminal History Record Information (CHRI) forms to the Department of Human Services for all staff members and volunteers who regularly interact with student participants. For additional information on CARI, contact the Department of Children and Families, Office of Licensing at (877) 667-9845. For additional information on CHRI, contact the Department of Human Services, CHRI Unit at (609) 633-3761.
14. Child Care Licensing All 21st CCLC programs serving students ages 13 and under must obtain a child care license and adhere to the requirements pursuant to New Jersey Administrative Code (N.J.A.C.) 10:122, Manual of Requirements for Child Care Centers, under the New Jersey Department of Human Services. Although local educational agencies (LEAs) are exempt from this mandate, it is advised that these agencies utilize the manual as a guide for best practices. Please refer to the website at http://www.State.nj.us/humanservices/dyfs/child_care_manual_toc.html for further information. For additional information, contact the Department of Children and Families, Office of Licensing at (877) 667-9845.
NOTE: Grantees are required to submit a copy of their permanent or temporary child care licenses with the application for funding, if applicable.
15. Daily Nutritious Snack Programs must provide a daily nutritious snack that meets the requirements of the United States Department of Agriculture (USDA) National School Lunch program for meal supplements. Snacks must contain at least two different components of the following four:
18 a serving of fluid milk; a serving of meat or meat alternate; a serving of vegetable(s) or fruit(s) or full strength vegetable or fruit juice; a serving of whole grain or enriched bread or cereal.
Please visit http://www.fns.usda.gov/cnd/afterschool/factsheet.htm for more information.
16. Sustainability The vision of the New Jersey 21st CCLC program is to develop and support long-term, sustainable programs that enhance or improve students’ academic performance. Applicants must demonstrate the ability to continue to provide comparable services upon the expiration of this grant program. The department expects the advisory board will work with program administrators in the development and implementation of a sustainability plan. Applicants must describe how they plan to sustain the program after federal funding ends, including the leveraging or identification of other sources of funding. The sustainability plan must be implemented throughout the grant year and succeeding grant years. Applicants will be required to participate in at least one NJ Celebrates Afterschool event annually. NJ Celebrates Afterschool events are open houses with fun and educational activities for parents, children and local community leaders to build ongoing support in the community. These events will provide an opportunity for parents and other community members to observe what the 21st CCLC program is offering local students. Further details will be provided to grant recipients, after the beginning of the grant year.
17. Goals, Objectives, and Indicators Grantees are required to adopt the state mandated goals and objectives and create program specific indicators. Performance indicators are quantifiable performance measurements used to define success factors and measures progress toward the achievement of your program’s goal. Each indicator must: specify a time frame when that objective will be achieved; identify the clients and needs served; specify what will be achieved; and identify the expected level of performance. Additionally, indicators must be: Relevant: Make certain to construct measurable indicators of success that directly link to and support project goals and objectives. Specific: It must detail how the objective will be achieved, for whom and by whom. Measurable: Identify the level of performance expected in order to indicate successful achievement of the objective. Concise: Generally no more than one sentence.
All applicants are required to submit indicators on the Goals, Objectives, and Indicators form within the Standard Competitive Application (SCA).
18. Project Activity Plan Using the project activity plan form within the SCA, applicants must describe the proposed activities that will be implemented to achieve each mandated goal and objective. The project activity plan must directly support the budget, as it will serve as the basis for the expenditures proposed in the budget. Activities described must be specific and measurable and in complete
19 action-oriented sentences. For example, the following is an unacceptable activity: Meetings with community partners, community entities, collaborators. A more acceptable activity would be: Relevant program staff will meet with community entities, partners and collaborators on a quarterly basis.
19. Collaborations All applicants are required to develop and maintain effective collaborations within the community among diverse agencies to strengthen the variety of services that the 21st CCLC program can offer and allows for more efficient use of local resources. Applicants must complete the Documentation of Required Collaboration form found in Appendix 12 for each collaborator.
2.3 BUDGET DESIGN CONSIDERATIONS
Programs must be equally accessible to all students targeted for services, regardless of their ability to pay. As such, programs that charge fees may not prohibit any family from participating for financial reasons. Programs that choose to charge fees must offer a sliding scale fee and scholarships for those who cannot afford the program. Income collected from fees must be used to fund additional costs consistent with the grant application and cannot be carried over into any subsequent years.
If an applicant submits the Matching Funds Summary and Expenditure Report form (Appendix 6), as outlined on page 7 of this NGO, with their application it is expected that they would achieve the same level of match for the duration of the five year program.
It is critical for applicants to develop strong collaborations that will enable them to leverage private resources to sustain the program beyond the period for which grant funds are available. Applicants should consider required trainings/conferences (e.g., state and national 21st CCLC conferences), transportation expenses, and evaluation costs when preparing budget detail forms.
2.4 BUDGET REQUIREMENTS
In constructing the budget, please note that all costs must be reasonable and necessary to implement program activities. Additionally, the budget must demonstrate clear and specific links to the project activity plan. Applicants must submit a budget detail forms and budget summary, located in Appendix 13, which provide sufficient explanation of budgeted costs, including the calculation detail (cost-basis).
Programs that charge fees must obtain prior approval from the NJDOE through their program officer. If approval is granted, the applicant will be required to submit a program income report with the quarterly and final fiscal reports. For additional information regarding the program income report, please see Part Seven of the Grant Recipient’s Manual for Discretionary Grants. This manual is available online at http://www.nj.gov/njded/grants/discretionary/management/.
Applicants must document all costs that will be funded by 21st CCLC funds on the budget detail forms. Applicants must provide a brief grant-related job description and time frame of the
20 job in the Position/Name column on Form A for all grant-funded salaried personnel. For each budget entry on Forms C, D, E and F, the applicant must include, in the middle column, a brief but specific description of what the cost is, its relation to the grant, and as appropriate, the time frame of the cost. All grant-funded costs must have an appropriate cost basis. Additional information on constructing the budget may be found in Discretionary Grants Application, Part Three, available online at www.nj.gov/njded/grants/discretionary/apps/dga.pdf.
The applicant must ensure that it meets all of the requirements listed below:
1. Transportation Cost for transportation must be reasonable and necessary for the program. Vehicles may not be purchased; however, an applicant may choose to contract with a service provider or lease a vehicle.
2. Background Checks The fee required for a Child Abuse Record of Information (CARI) background check is $10 and the fee required for a Criminal History Record of Information (CHRI) is approximately $90 for each individual, which is an allowable cost that may be included in the program budget. For additional information, please visit the New Jersey Department of Human Services’ (DHS) website at www.state.nj.us/humanservices/dyfs/child_care_manual_toc.html.
3. Professional Development Applicants may budget grant funds for expenses related to consultant fees, registration costs, travel, meals, and lodging.
4. Daily Nutritious Snack Programs must provide a daily nutritious snack that meets the requirements of the United States Department of Agriculture (USDA) National School Lunch program for meal supplements.
5. Supplement not Supplant Applicants must use program funds to supplement and not supplant other federal, state, and local funds to provide programs and activities allowable under this grant program.
6. Evaluation Applicants must budget sufficient funds to cover the costs to complete the required evaluation, including costs for the external program evaluator and administrative support personnel responsible for PARS21 and PPICS data entry.
21 7. Maintenance of Effort (MOE) 21st CCLC programs are subject to a Maintenance of Effort (MOE) requirement, which is the same requirement that is applied to Title I, Part A. Under the MOE requirement, a 21st CCLC program may receive its full award, only if the NJDOE determines that the project’s LEA partners’ combined fiscal effort per pupil or aggregate expenditures of state and local funds for free public education in the preceding fiscal year was not less than 90 percent of the combined fiscal effort or aggregate expenditures for the second preceding fiscal year. If the LEA fails to meet the 90% level, the NJDOE must reduce the project’s award by the exact percentage by which the LEA failed to meet the 90% level. The NJDOE will verify the MOE requirement for LEAs during the award process. As additional information regarding this requirement becomes available, the department will post it on the NJDOE website at: www.nj.gov/njded/grants/gropps.shtml .
Eligible Costs Grant funds may be used by applicants for the following costs that directly support the activities described in the application:
1. Salaries and benefits for program staff, including but not limited to custodial, security, and nursing staff, that are reasonable and necessary;
2. Food for project participants, which must be clearly related to and necessary for activities described in the Project Activity Plan;
3. Purchase of curricula, project materials, and supplies for grant-funded project activities, including computer software and on-line resources;
4. Professional development and training in support of grant-funded projects and services;
5. Fees for Child Abuse Record Information (CARI);
6. Identification, selection, and orientation of grant-funded staff;
7. Transportation services for project participants to participate in grant-funded activities;
8. Reasonable and necessary services and accommodations associated with serving disabled students;
9. Computer(s) for the purpose of program administration and implementation;
10. Other grant related expenses (e.g., printing, telephones, postage, travel, rent) that are necessary to perform grant administrative functions; and
11. Indirect costs that are incurred by a LEA, community-based organization, or other entity in administering or providing program services. An applicant must have, or must establish with its cognizant federal agency, a restricted indirect cost rate agreement to charge
22 indirect costs to this grant and include a copy with the application. The cognizant federal agency is responsible for approving indirect cost rates for recipients based on an indirect cost proposal submission. The cognizant federal agency is generally determined based on the preponderance of federal dollars received by the recipient. For LEAs, the NJDOE approves the indirect cost rates. Where indirect costs are allowed, the NJDOE reserves the right to limit the percentage charged, in order to ensure that the majority of discretionary grant funds are allocated to direct program costs. The maximum percentage allowed by the state is 8%; however this is not a guarantee of percentage to grantees.
NOTE: Out-of-state travel not documented in the approved grant application requires prior approval from the grantees’ program officer.
Ineligible Costs Funds provided under this grant may not be used for the following costs:
1. Vehicle purchases;
2. Supplanting local, state, or federal funds already designated for grant-related activities;
3. Construction or capital improvements;
4. Religious practices or programs; such as religious instruction, worship, or prayer;
5. Costs that are not directly related to the implementation of grant activities; and
6. Membership to associations or organizations.
NOTE: Ineligible costs as well as costs not supported by the activity plan will be removed from consideration.
23 SECTION 3: COMPLETING THE APPLICATION
3.1 GENERAL INSTRUCTIONS FOR APPLYING To apply for a grant under this NGO, applicants must prepare and submit a complete application. Your application must be a response to the State’s vision as articulated in Section 1: Grant Program Information of this NGO. It must be planned, designed and developed in accordance with the program framework articulated in Section 2: Project Guidelines of this NGO. Your application package must also be constructed in accordance with the guidance, instructions, and forms found only in the DGA and NGO.
In preparing your responses, please adhere to the following guidelines:
Narrative format using complete sentences; Times New Roman, 12 point font; Page limitations; Single line-spacing; Single-sided pages; and Number sequentially each page, including forms, starting from page one, the Title Page.
3.2 REVIEW OF APPLICATIONS
Evaluators will use the selection criteria found in Part I: General Information and Guidance of the DGA to review and rate your application according to how well the content addresses Sections 1 and 2 in this NGO. Evaluators may include, but are not limited to, representatives from the following groups: experts in expanded learning and after-school programs, community service agencies, school-age child care alliances, state department agencies, local and civic leaders, faith-based organizations (including religious private schools), and school personnel.
Please be advised that in accordance with the Open Public Records Act P.L. 2001, c. 404, all applications for discretionary grant funds received September 1, 2003 or later, as well as the evaluation results associated with these applications, and other information regarding the competitive grants process, will become matters of public record upon the completion of the evaluation process, and will be available to members of the public upon request.
Applications will also be reviewed for the completeness and accuracy. The following point values apply to the evaluation of applications received in response to this NGO:
24 Application Component Point Extra The attached Standard Competitive Application (SCA) Value Point contains each of the referenced sections below. Value STATEMENT OF NEED 20 5 Five additional points for the Statement of Need will be given to those applicants who propose to establish programs within the “20 cities” designated within the Governor’s Safe Street and Neighborhoods Initiative and address one of the following strategies: programs to reduce truancy, gang resistance or gang prevention programs or career/job development for youth. PROJECT DESCRIPTION 25 5 Five additional points for the Project Description will be given to those applicants who meet all of the following requirements: 1) Propose to serve students attending schools identified by the state as needing improvement, in accordance with Section 1116 of Title I and 2) Successfully describe their partnership between at least one LEA receiving Title I, Part A funds, and at least one public or private community organization; and 3) Submit Appendix 6 GOALS, OBJECTIVES, INDICATORS and EVALUATION 10 PROJECT ACTIVITY PLAN (year one) 15 ORGANIZATIONAL COMMITMENT AND CAPACITY 15 BUDGET (2008-2009 budget) 15 5 Five additional points will be given to those applicants who document their ability to provide a minimum of 10% match of the total program costs requested and submit Appendix 6. TOTAL 100 15
25 NOTE: Applicants must score a minimum of 65 out of 100 points to be eligible for funding.
3.3 APPLICATION COMPONENT CHECKLIST
Applicants must use the application component checklist below to ensure that all required forms are included in the application. The required forms to be submitted with the application as part of the application are indicated by a check mark (). The asterisk (*) indicates the forms that are required, if applicable. NOTE: Applicants must submit forms and documentation in the order listed in the following Application Component Checklist.
26 APPLICATION COMPONENT CHECKLIST Require Forms/Documentation Included d Application Title Page Board Resolution to Apply (Appendix 15) Standard Competitive Application (SCA) Project Activity Plan Goals, Objectives, and Indicators Documentation of School Eligibility (Appendix 1) Verification of School Collaboration (Appendix 2) 21st CCLC Program Statement of Assurances (Appendix 3) Documentation of Nonpublic School Participation Form (Appendix 4) Nonpublic Equitable Participation Summary and Affirmation Form (Appendix 5) * Verification of Partnership (Appendix 7) Documentation of Required Collaboration (Appendix 11) NJDOE Statement of Assurances (Appendix 14) * Child Care License Local External Evaluation Quote Application for Funds – Budget Summary (Appendix 13) * Budget Form A: Full-time and Part-time Salaries * Budget Form B: Personal Services – Employee Benefits * Budget Form C: Purchased Professional and Technical Services * Budget Form D: Supplies and Materials
* Budget Form E: Equipment * Budget Form F: Other Cost * Subgrant Budget Summary * Matching Funds Summary and Expenditure Report form (Appendix 6)
*Required (only if necessary for the budget)
27 21st Century Community Learning Centers Program Competitive Grant: Cohort 5 – Year 1/5
September 1, 2008 – August 31, 2009
Standard Competitive Application (SCA)
Lucille E. Davy Commissioner
Barbara Gantwerk Assistant Commissioner Division of Student Services
Susan B. Martz Director Office of Educational Support Services Division of Student Services
January 2008
Application Due Date: April 24, 2008
NEW JERSEY DEPARTMENT OF EDUCATION P.O. BOX 500 TRENTON, NJ 08625-0500 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM
Standard Competitive Application (SCA)
Application Instructions
The Standard Competitive Application (SCA) is intended to elicit thoughtful, meaningful, and comprehensive responses based upon prior program implementation experience, plans for the upcoming program year, input from all relevant stakeholders, and local evaluation efforts. Additionally, the SCA contains a checklist to serve as a tool for addressing issues of program compliance.
In preparing your responses, please adhere to the following guidelines:
Narrative format using complete sentences; Maximum of 1,000 words per response; Times New Roman, 12 point font; Single line-spacing; Single-sided pages; Sequentially numbered pages (including forms), starting from page one, the Title Page; and Use one budget detail form page per budget code.
Applicants must submit with the application an original and four (4) copies of the completed application to Application Control Center (ACC) no later than 4:00 P.M. on Thursday, April 24, 2008.
Mailing Address Courier Service Address Application Control Center Application Control Center New Jersey Department of Education New Jersey Department of Education 100 River View Plaza 100 River View Plaza P.O. Box 500 Trenton, NJ 08625 Trenton, NJ 08625-0500 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Project Abstract The project abstract is a one-page (250-300 words) summary of your proposed project’s need, purpose, and projected outcomes. If you are applying under a multiyear grant program, describe your proposed project for the full multiyear grant period. Keep in mind that this is a snapshot of your application, and it is the first statement of your proposed project that the grant evaluators see. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Statement of Need The Statement of Need identifies the local conditions and/or needs that justify the project you are proposing to implement in your application. A “need” in this context is defined as the difference between the current status and the outcomes and/or standard(s) that your agency would like to achieve. In this section, you will demonstrate the need for the proposed project in relation to the particular grant program to which you are applying. Describe and document the conditions and/or needs to be addressed and population to be served through the proposed project.
Category B applicants must describe the need to expand from the previously funded grant years. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Target Population (1) Provide a complete description of the target population being served at each program site, including student demographic information such as grade levels, ethnic and racial background, economic status, and the number of public and nonpublic students receiving services.
(2) Please submit a chart documenting the proposed number of students to be served at each site. If the site is a school building include the actual name of the school and district.
(3) Identify and provide specific accommodations, modifications, supplementary aids, and services that are necessary to serve participants with disabilities.
(4) Applicants must describe their recruitment and retention plan.
(5) Category B applicants must include the numbers of youth and families that were served for each year of the original five-year grant. Explain any increases or decreases in the number of participants served. Additionally, describe any changes you will make to increase and/or retain student enrollment. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Program Components For each program site, list proposed activities for each of the five program components. Attach a weekly schedule of activities for each program site. Copy this page as necessary.
NAME OF PROGRAM SITE ______
Required Components Proposed Activities Academic Remediation and Enrichment
NOTE: When providing services in core academic areas [language arts and math], programs must employ strategies based on scientifically-based research. Programs may use computer-aided instruction to supplement academic remediation and enrichment; however, this approach should not be the sole method of instructional service delivery.
Academic Enrichment
NOTE: Academic enrichment activities expand on students' learning in ways that differ from the methods used during the school day. These activities are interactive and engaging for the student while imparting knowledge and skills.
Cultural and Artistic
Positive Youth Development
Health, Nutrition, Fitness and Physical Activity NOTE: In developing activities in this category, grantees may consider hosting activities that support existing programs (ie. May is National Bike Month and Bike to Work Day; June is National Outdoors Month and National Trails Day; July is Park and Recreation Month, and October is International Walk to School Month).
Parental Involvement Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Linkages to Regular School Day Describe how the proposed activities in the area of academic remediation and enrichment will complement the students’ regular academic program. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Infusion of Social Emotional Character Education and Development Describe how social emotional and character education development will be infused into the program. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Program Hours of Operation Provide information regarding each site’s hours of operation. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Partnerships and Collaborations List all partners and collaborators and describe the services, goods, and/ or resources to be provided by each. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Advisory Board Describe the composition and responsibilities of the advisory board. Describe how the advisory board will work with program administrators in the development and implementation of a sustainability plan. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Professional Development Discuss how the program proposes to meet the professional development requirements outlined in the NGO. Identify program specific training needs to be addressed through in-service training participation and conference, seminar, and/or workshop attendance. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Off-Site Educational Activities (Field Trips) Provide a detailed description of anticipated off-site educational activities. The description should include information regarding the specific activity and the educational benefit of the proposed activity. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Transportation Describe how each program site assures the safe transport of student participants to and from the program site and home (or other prearranged site). Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Organizational Commitment and Capacity
(1) Describe why the project you propose is important to you.
(2) Describe your commitment to addressing the conditions and/or needs you identified, including the organizational support that exists for implementing your proposed project.
(3) Describe why you are an appropriate (i.e., authorized) agency to implement the project.
(4) Describe experience you have had in implementing similar types of projects, as well as the outcomes of those projects. What worked, what didn’t and why?
(5) Describe how you will use your previous experience to ensure successful implementation of your proposed project.
(6) If you have not implemented similar projects, tell us why your proposed project will be successful.
(7) Describe your organizational resources (staff, facilities, equipment, funds, etc.) that will support successful project implementation. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Evaluation Submit an evaluation plan that will shape the development of the project from the beginning of the grant period. Discuss how the program evaluation data will inform the program design and implementation. Please list what types of data will be collected and when and which objectives they address. Describe how the evaluation information will be used to provide feedback to stakeholders and project staff, and inform future project direction. Refer to section 1.8 of this NGO for further details.
Category B applicants must demonstrate effectiveness using local evaluation data and additionally address the following questions: What impact has the 21st CCLC program made on youth and families served over the past five years? How has the 21st CCLC program achieved the state mandated goals and objectives? Please provide data to support responses. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Sustainability Applicants must outline the program’s sustainability plan for the upcoming year, including the leveraging or identification of other sources of funding. The sustainability must be implemented throughout the grant year and succeeding grant years. Please refer to program requirement number 16 for more details.
Category B applicants must describe the efforts taken over the past five years to sustain the program and why those efforts have not been successful. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Instructions: Please provide responses to all questions below. A detailed explanation is mandatory for all “no” and “in progress” responses. Requirements Status Staffing and Certification Requirements
Are all core academic teachers certified in the content areas in Yes No In Progress which they provide instruction?
Comment:
Accommodations for Students with Disabilities
Are necessary accommodations, modifications, supplementary Yes No In Progress aids, and services provided to serve participants with disabilities?
Comment:
Transportation
Does the program obtain written parental consent to transport Yes No In Progress students to prearranged sites other than the participants’ homes?
Does the program obtain written parental consent permitting Yes No In Progress students to walk to and/or from the program site?
Comment: Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Requirements Status Daily Nutritious Snack
Does the program provide a daily nutritious snack that meets Yes No the requirements of the United States Department of Agriculture (USDA) National School Lunch Program?
Comment:
Emergency Protocols
Does the program have an early dismissal policy? Yes No In Progress
Does the program have an inclement weather policy? Yes No In Progress
Does the program have a policy to address health Yes No In Progress emergencies?
Does the program maintain information on file concerning Yes No In Progress students’ chronic health conditions?
Does the program maintain accessible emergency contact Yes No In Progress information (a minimum of two) for all participants?
For each participant, does the program maintain an authorized Yes No In Progress list of persons, other than parents, to whom the child may be released?
Comment: Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Requirements Status Background Checks
Does the program conduct background checks on all staff and Yes No In Progress volunteers who routinely interact with student participants?
Comment:
Child Care Licensing
If providing services to children ages 13 and under, has the Yes No In Progress program obtained its child care license (not applicable to schools and LEAs)? N/A
Comment: Date: ______Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
PROJECT ACTIVITY PLAN Copy this page as needed.
2008-2009 Instructions: Activities in the project activity plan must be specific and measurable and in complete action-oriented sentences. See Section 2.2 of this NGO for examples.
Applicant (Lead) Agency: ______NGO #: ______
GOAL#: ______OBJECTIVE#____: ______
Person(s) Responsible for Report Period () Implementation Activity Documentation Conducting Activity * #1 #2 #3 #4 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
GOALS, OBJECTIVES, AND INDICATORS
2008-2009 Instructions: Applicants are required to adopt the state mandated goals and objectives and create program specific indicators. Performance indicators are quantifiable performance measurements used to define success factors and measures progress toward the achievement of your program’s goal. See Section 2.2 of this NGO for additional details.
Goal 1: To provide high-quality educational and enrichment programs that will enable students to improve academic achievement, and promote positive behavior and appropriate social interaction with peers and adults.
Objective 1.1: The agency will establish and maintain partnerships and collaborative relationships within the community to enhance students’ access to a variety of opportunities.
Indicator(s):
Objective 1.2: Participating students will demonstrate increased positive behavior through the center infusing character education into components of the center’s program.
Indicator(s):
Objective 1.3: Students regularly participating in the program will meet or exceed the state standards in reading and mathematics.
Indicator(s):
Objective 1.4: Students regularly participating in the program will demonstrate improved attendance, classroom performance, and decreased disciplinary actions or other adverse behaviors.
Indicator(s):
Goal 2: To implement activities that promote parental involvement and provides opportunities for literacy and related educational development to the families of participating students.
Objective 2.1: The agency will establish collaborative relationships that offer opportunities for literacy and related educational activities to the families of participating students.
Indicator(s): Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Objective 2.2: At least 75% of the parents participating will increase involvement in the education of children under their care.
Indicator(s):
Objective 2.3: At least 75% of the parents of participating students will increase involvement in literacy-related activities with dependent children under their care.
Indicator(s):
Goal 3: To measure participants’ progress and program effectiveness through monitoring and evaluating.
Objective 3.1: Throughout the grant period, the center will continually assess program implementation and effectiveness.
Indicator(s):
Objective 3.2: The center will measure students’ in-school progress in the areas of academic achievement, behavior and social development.
Indicator(s):
Objective 3.3: Throughout the grant period, the center will use within-program measures and assessments of others (e.g., parents, program staff) to gauge direct program impact.
Indicator(s):
Objective 3.4: The center will measure the impact of the program on family members of participating students.
Indicator(s): Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 1 DOCUMENTATION OF SCHOOL ELIGIBILITY SCHOOLWIDE AND LOW-INCOME 2008-2009
Applicants who propose to serve students who: (1) attend schools eligible for schoolwide programs; or (2) attend schools with a high percentage of students from low-income families. Schools that serve a high percentage of low-income families will be defined as those schools that have a minimum of 30% of its student population defined as low-income. Low-income families are defined as those families whose children receive free lunch and/or free milk.
Please copy and complete for each school the applicant proposes to serve.
Applicant Agency Name: ______
Name of School: ______
Address: ______
Phone: (___) ______Fax: (___) ______
District: ______
County: ______
I certify that the school listed above meets the following eligibility requirement (please check one box)
(1) Current Title I Schoolwide Program participant;
OR
(2) A minimum of 30% of the school’s student population receives free lunch and/or free milk, as documented in the most recent Application for School State Aid (ASSA) count of enrolled students.
1. Total Number of Students Enrolled: _____ 2. Total Number of Students Receiving Free Lunch: ____ 3. Total Number of Students Receiving Free Milk: _____ 4. Low Income Percentage (adding #2 & #3 and dividing by #1): ______%
Name of Chief School Administrator (Print): ______(For the school identified above)
Signature of Chief School Administrator: ______Date: ______Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 2
VERIFICATION OF SCHOOL COLLABORATION (Please duplicate for each school to be served. If the applicant is an LEA, this form is not required)
2008-2009
This document is to be signed and included with the application as evidence of collaboration with the schools to be served.
Applicant Agency Name: ______Name of School to be Served: ______
It is my understanding that the above-named applicant will serve the students who attend my school with comprehensive out-of-school time services. A representative of the school will work with this program to ensure coordination and collaboration of services to these students and their families. In addition, I certify that my school meets the eligibility requirements specified in this NGO in Section 1.2, Eligibility to Apply and will provide data to the above applicant for the purposes of the local and state evaluations.
Print Name of Chief School Administrator (CSA) District
______Signature of Chief School Administrator (CSA) Date
______Print Name of Applicant Chief School Administrator or CEO
______Signature of Applicant Chief School Administrator or CEO Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 3
21st CCLC PROGRAM STATEMENT OF ASSURANCES
2008-2009
The ______(applicant agency name) hereby assures that:
1. The program will conduct activities in a safe and easily accessible facility.
2. The program will continue to provide equitable services to participating nonpublic schools as specified in the original approved application.
3. The program was developed and will be implemented in active collaboration with the schools the students attend and at least one other public or private community agency.
4. The program will target students who attend schools eligible for Title I schoolwide programs or students from low-income families and the families of those students.
5. Funds under the program will be used for authorized programs and activities, and will not supplant federal, state, local, or non-federal funds.
6. The program will conduct outreach activities to identify qualified children with handicaps/disabilities who meet the eligibility criteria for participation in the center’s programs.
7. The program will provide accommodations, modifications, supplementary aids, and services for eligible children with handicaps/disabilities and their families that ensure their equal participation in, and benefit from, the programs/services/activities offered to non- handicapped children and their families.
8. The program will comply with all components of the comprehensive evaluation plan.
9. The applicant will ensure that all services being provided are in accordance with all relevant New Jersey Administrative Code (N.J.A.C.) and New Jersey Statutes Annotated (N.J.S.A) licensing requirements.
______Print Name of Applicant Chief School Administrator or CEO
______Signature of Applicant Chief School Administrator or CEO Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 4
DOCUMENTATION OF NONPUBLIC SCHOOL PARTICIPATION
2008-2009
Lead Agency Name:______Application Amount: ______NGO Title: ______NGO ______
“ In accordance with federal requirements contained within the No Child Left Behind federal legislation, the following nonpublic school representatives were contacted. They were offered a genuine opportunity to express their interest in participating in the above program before any decision that affects the opportunities of those students, teachers, and other educational personnel in a nonpublic school became final as part of this application.” (Note: Signature below of the lead agency’s CSA/CEO certifies that the Participation of Students Enrolled in Nonpublic Schools requirement is understood and certifies lead agency’s eligibility to participate in this grant program.)
Insert below the name of each of Insert below the specific name of Insert below: “yes will the nonpublic schools contacted the person contacted along with participate” or “no will not their telephone number participate”
(Use additional sheets as necessary and please sign each sheet)
______/_____/_____ Signature of Lead Agency’s Chief School Administrator or CEO Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 5
NONPUBLIC EQUITABLE PARTICIPATION SUMMARY and AFFIRMATION of CONSULTATION FORM
2008-2009
Complete a form for each participating nonpublic school. Copy this form as necessary.
In the space below, the applicant agency is to briefly respond to each of the five items listed. Please ensure that what is described on this form is directly related to the components of timely and meaningful consultation and the equitable participation of nonpublic school students/teacher(s) in this grant program, as required (EDGAR 76.650-76.662). For each nonpublic school, this Summary Form must be signed and dated by the applicant CSA/CEO and the nonpublic school official. The LEA/applicant agency must submit with the grant application a copy of this form for each nonpublic school.
1. Describe the consultation process that took place including meeting date, those in attendance and agenda. 2. Describe the needs of the eligible nonpublic school students/teachers and how these needs have been/and will continue to be identified? 3. What identified services will be provided? Explain how, when, where, and by whom the services will be provided. 4. How and when will the services be assessed and how will the results of the assessment be used to improve the services? 5. What is the amount of estimated grant funding available for the agreed upon services?
RESPONSES:
By our signatures below we agree that timely and meaningful consultation occurred before the LEA/applicant agency made any decision that affected the participation of eligible nonpublic school children, teachers or other educational personnel in the 21st Century Community Learning Centers Program.
□ Yes, we wish to participate in this grant opportunity □ No, we do not wish to participate in this grant opportunity
______Name of LEA/Applicant Agency Name of Nonpublic School
______Official – LEA/Applicant Agency Date Nonpublic School Representative Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
APPENDIX 6
MATCHING FUNDS SUMMARY & EXPENDITURE REPORT Date: (Complete this form only if requesting consideration for the five additional points within this NGO) ______NGO TITLE: Check box if matching funds are provided by a subgrantee. Identify the subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE:
Complete this box for Matching Report #: ______ Check box if FINAL report Funds expenditure Reporting: Reporting Period: (from) ______(to) ______
NOTES: Copy this form. Refer to the Constructing a Grant Application Budget in the Discretionary Grant Application for instructions. PROJECT COST CATEGORY MATCHING MATCHING FUNDS GOAL/ (e.g., salaries, supplies, equipment, etc.) FUNDS BUDGETED EXPENDED OBJECTIVE/ (by cost category) (by category) ACTIVITY
TOTAL MATCHING FUNDS BUDGETED: *TOTAL MATCHING FUNDS EXPENDED: *Use a copy of this form for reporting matching expenditures when submitting interim and final expenditure reports. final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 7
DIRECTIONS TO TECHNICAL ASSISTANCE
New Jersey Forensic Science Technology Center 1200 Negron Drive Hamilton, NJ 08691 (609) 585-5051
March 12, 2008 from 9:30 a.m. to 12:30 p.m. From the NJ Turnpike 1• Take Exit 7A and proceed west on I-195 2• Take Exit 5A (Rt 130 South) to the Horizon Blvd. exit on the right at first traffic light 3• Turn right on Horizon Blvd. and proceed to stop sign. The Technology Center will be in front of you 4• Make a left turn and the first right turn in front of the complex, which will be on your right on Negron Drive 5• For Auditorium parking, once you have made the right turn onto Negron Drive, proceed straight to the north side of the Center, passing the Center and making a right between the Center and the NJSP Communications Center, entering the Auditorium parking area
From the Parkway 1• Take the Parkway to Exit 98 and proceed west on I-195 2• Take Exit 5A (Rt 130 South) to the Horizon Blvd. exit on the right at first traffic light 3• Turn right on Horizon Blvd. and proceed to stop sign. The Technology Center will be in front of you 4• Make a left turn and the first right turn in front of the complex, which will be on your right on Negron Drive 5• For Auditorium parking, once you have made the right turn onto Negron Drive, proceed straight to the north side of the Center, passing the Center and making a right between the Center and the NJSP Communications Center, entering the Auditorium parking area
From Trenton 1• Take Route 29 South to I-195 East 2• Take Exit 5A (Rt 130 South) to the Horizon Blvd. exit on the right at first traffic light 3• Turn right on Horizon Blvd. and proceed to stop sign. The Technology Center will be in front of you 4• Make a left turn and the first right turn in front of the complex, which will be on your right on Negron Drive 5• For Auditorium parking, once you have made the right turn onto Negron Drive, proceed straight to the north side of the Center, passing the Center and making a right between the Center and the NJSP Communications Center, entering the Auditorium parking area Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) 6APPENDIX 8 VERIFICATION OF PARTNERSHIP (Please duplicate for each partnering agency.) 2008-2009
This document is to be completed by applicants who are submitting a joint application with another agency and propose to serve schools listed as Title I schools in need of improvement.
Applicant Agency Name:
Name of partnering agency/organization: Contact Person Name and Title: ______Address: ______County: ______Telephone #: ______Fax #: ______Email Address: ______
Type of agency/organization (Please check the appropriate agency): ___ Charter School ___ Business/ Corporation ___ Institution of Higher Education ___ Community-based Organization ___ City Government ___ Faith-based Organization ___ County Government
Please check off the services that the partnering agency will provide: ___ Provide programming/activity-related services ___ Provide services (referral, mental health ___ Provide paid staffing counseling, social services) ___ Provide volunteer staffing ___ Fundraising ___ Provide in-kind donations ___ Adult Education ___ Provide goods/materials ___ Parent Education ___ Provide transportation ___ Provide evaluation services ___ Provide technical assistance ___ Other (please specify) ______
The applicant agency and I have partnered to submit a 21st Century Community Learning Centers Program application, available through the New Jersey Department of Education (NJDOE) to provide comprehensive afterschool programming services to eligible students and their families within designated schools in need of improvement. Recognizing the need for such services, I am committed as a partner to ensure that my agency acts in full partnership of the proposed program through the provision of activities, services, and/or resources through the entire grant period. In addition, my agency will provide data to the applicant for the purposes of the local and state evaluations of the program.
______Print Name of Applicant Chief School Administrator or CEO
______Signature of Applicant Chief School Administrator or CEO Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 9
A Strategy for Safe Streets and Neighborhoods Initiative
In September 2007, Governor Jon S. Corzine introduced the first piece of a comprehensive three part strategy to enhance public safety and combat violent street crime in the Garden State. The Governor’s Strategy for Safe Streets and Neighborhoods addresses issues of enforcement, prevention and re-entry with an emphasis on reducing gang violence, violent crime and recidivism. Data analysis has found that the majority of this crime occurs in 20 specific municipalities.
In support of the Governor’s Safe Streets and Neighborhoods Initiative, applicants may receive five (5) additional points contingent upon the following criteria:
1. Propose to establish or expand an afterschool program within the following cities:
a. Asbury Park, k. Newark, b. Atlantic City, l. North Bergen, c. Bridgeton, m. Orange, d. Camden City, n. Passaic, e. East Orange, o. Paterson, f. Elizabeth, p. Perth Amboy, g. Irvington, q. Plainfield, h. Jersey City, r. Trenton, i. Lakewood, s. Union City or j. New Brunswick, t. Vineland;
2. AND, offer activities in one of the following areas: programs to reduce truancy, gang resistance or gang prevention programs or career/job development. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 10
21st CCLC PROJECT STAFF RESPONSIBILITITES
Outlined below are minimum responsibilities for the staffing requirements outlined under Section 2.2. Agencies must ensure that all 21st CCLC project staff have sufficient time to perform these duties at a minimum. Applicants have some flexibility in the establishment of their staffing patterns. However, the NJDOE will review the management plan, including staffing, based on what is necessary and reasonable to implement the project and adhere to program requirements. The NJDOE reserves the right to require changes based on this review.
Project Administrator (director or coordinator) This person will be responsible for managing and implementing the educational program and budget described in the approved application to ensure that the agency meets its responsibilities to the NJDOE under the grant agreement in a timely manner. Additional responsibilities include: Ensure implementation with approved application (monitor program/budget appropriately); Complete necessary reports and submit to state; Maintain participant files, program forms, and applicable licenses; Develop attendance policy, calendar of activities; Meeting with key program staff, teachers, partners, collaborators, evaluator, etc. regularly; Coordinate 21st CCLC advisory board meetings and ensure implementation of sustainability plan; Supervise Site Coordinators, administrative staff and program volunteers; Conduct program orientation for staff, parents, students, volunteers, and key program staff; Develop and maintain health and emergency plans/files; Attend mandated project directors’ meetings and required professional development trainings; and Ensure compliance with evaluation requirements (data-entry into federal and state data- collection systems, PPICS and PARS21 respectively)
Site Coordinator This position is required for each site. This person will be responsible for the daily operation, coordination and delivery of services at their respective program sites. If an agency has only one site the program may opt to hire a site coordinator to assist the director in the administration and oversight of the program. Agencies have the discretion to amend the title of the program coordinator to suit its program structure. Responsibilities include: Ensure staff and students are in assigned classrooms and have signed-in; Oversee drop off and pick up of students; Coordination and distribution of daily snacks; Ensure activities are delivered as intended; Ensure field trip activities are completed as scheduled and ensure that emergency contacts are accessible; Communicating with school-day teachers regarding specific student needs. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
Administrative Support This position is required for all agencies. This person will be responsible for entering data into PARS21 and PPICS, gathering registration forms, attendance sheets and other forms as required by program. Additionally, this person is responsible for other administrative tasks as deemed necessary by the project administrator. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 11
LIST OF NATIONAL, STATEWIDE AND REGIONAL CONFERENCES
This list is not meant to be exhaustive.
NATIONAL CONFERENCES
Foundations, Inc. Beyond School Hours Conference February 2009 (exact date and location TBA)
Foundations’ national Beyond School Hours® conferences promote the expansion of quality after-school programs that provide safe havens for children, improve academic achievement, and offer positive social interaction in a healthy environment. Take advantage of this excellent professional development and networking opportunity. For more information, visit: www.foundationsinc.org
National After-School Association’s Annual Conference March 2009 (exact date and location TBA)
The National After-School Association conference is the preeminent professional development experience for after-school professionals in the country. For twenty years, the NAA conference has been the place to connect with colleagues and learn the latest of what you need to know and be able to do to serve children in high quality after-school and summer programs. For more information, visit: http://www.naaconference.org/
The Center for Summer Learning National Conference April 2009 (exact date and location TBA)
This conference hosted by The Center for Summer Learning at Johns Hopkins University will challenge you to plan, implement, support and advocate for high-quality summer programming in your community and nationwide. Through its national network of providers and partners, the Center for Summer Learning works to make summer learning a priority in communities across the country. Using research-based approaches and models of effective practice, the Center strives to ensure that all children have access to high-quality learning opportunities during the summer months. For more information go to: www.summerlearning.org/index.php
Afterschool for All Challenge May 2009 (exact date and location TBA)
The Afterschool Alliance will provide two days of workshops, speakers and fun for hundreds of afterschool providers and leaders from around the country, and some of the parents and children they serve. For more information go to: www.afterschoolalliance.org Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
21st Century Community Learning Centers 2009 National Summer Institute After-school for All Children (exact date and location TBA) July 2009
Sponsored by the U.S. Department of Education the 21st Century Community Learning Centers (21st CCLC) Summer Institute will provide workshops to improve the quality of after-school programming. This conference is open to current State-funded 21st CCLC grantees and other interested after-school providers, funders and policy-makers. For current grantees, we suggest that you have the project director and the site coordinators from your grant attend, though you have flexibility in deciding who should most appropriately attend the Summer Institute.
STATEWIDE CONFERENCE
New Jersey School-Age Care Coalition Annual Conference for Afterschool November 14 -15, 2008, Princeton, NJ
The New Jersey School-Age Care Coalition (NJSACC) conference is the only statewide conference in New Jersey that offers administrative and direct service workshops for all afterschool personnel. The mission of NJSACC is to promote and support the development, continuity and expansion of quality programs for children and youth during out-of-school time. The conference will be held again at the Marriot Princeton Hotel and Conference Center at Forrestal (formerly the Doral), 100 College Road East, Princeton, NJ 08540. For more information, visit: www.njsacc.org
REGIONAL CONFERENCE
The Out-of-School Time Resource Center (OSTRC)
OSTRC is part of the University of Pennsylvania’s School of Social Policy and Practice and promotes out-of-school time (OST) student achievement by enhancing staff support and professional development. They maintain a list of all regional and national workshops/conferences/events, please visit http://www.sp2.upenn.edu/ostrc/announcements.html Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
APPENDIX 12 DOCUMENTATION OF REQUIRED COLLABORATION (Please duplicate for each collaborating agency.) 2008-2009
Applicant Agency Name:
This document is to be signed and submitted with the grant application as evidence of the collaboration between the applicant and the agency with whom the applicant has or will coordinate in the planning and execution of services outlined in the grant application.
Name of collaborating agency/organization: Contact Person Name and Title: ______Address: ______County: ______Telephone #: ______Fax #: ______Email Address: ______
Type of agency/organization (Please check the appropriate agency): ___ Charter School ___ Business/ Corporation ___ Institution of Higher Education ___ Community-based Organization ___ City Government ___ Faith-based Organization ___ County Government
It is my understanding that the applicant listed above plans to submit an 21st Century Community Learning Centers Program application, available through the New Jersey Department of Education (NJDOE) to provide comprehensive afterschool programming services to eligible students and their families. Recognizing the need for such services, I am committed to ensuring that my agency acts in full support of the proposed program through the provision of activities, services, and/or resources as a result of the collaborative effort between my agency and the aforementioned applicant agency. In addition, my agency will provide data or other information to the applicant for the purposes of documentation of services and the state evaluation of the program.
Please check off the services that the collaborating agency will provide: ___ Provide programming/activity-related services ___ Provide services (referral, mental health ___ Provide paid staffing counseling, social services) ___ Provide volunteer staffing ___ Fundraising ___ Provide in-kind donations ___ Adult Education ___ Provide goods/materials ___ Parent Education ___ Provide transportation ___ Provide evaluation services ___ Provide technical assistance ___ Other (please specify) ______
______Print Name of Collaborating Agency CEO or CSA
______Signature of Collaborating Agency CEO or CSA Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA)
APPENDIX 13 BUDGET DETAIL FORM A Date: ______Personal Services - Salaries Function & Object Codes 100-100 and 200-100
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROJECT FUNCTION POSITION/NAME COST CALCULATION GRANT REQUEST GOAL/ & OBJECT For full-time positions: total annual salary x percent of time to the grant project = AMOUNT OBJECTIVE/ CODE total ACTIVITY For part-time positions: rate ($) per hour x number of hours per week x number of weeks per year = total
Final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 13 BUDGET DETAIL FORM B Date:______Personal Services – Employee Benefits Function & Object Code 200-200
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. POSITION/NA GRANT FICA TPAF PERS WRKR’S UNEMPLY. DISABIL. HEALTH OTHER TOTAL % OF GRANT ME REQUESTED COMP SPECIFY: BENEFITS REQUEST SALARY 7.65% ______AMOUNT AMOUNT (BENEFITS ------% ------% ------% ------% ------% ------% ------% ONLY)
Final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 13 BUDGET DETAIL FORM C Date: ______Purchased Professional and Technical Services Function & Object Codes 100-300 and 200-300
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROJECT FUNCTION DESCRIPTION/PURPOSE RATE: TIME GRANT REQUEST GOAL/ OBJECTIVE/ & HOURLY, REQUIRED AMOUNT ACTIVITY OBJECT DAILY, FLAT CODE FEE
Final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 13 BUDGET DETAIL FORM D Date: ______Supplies and Materials Function & Object Codes 100-600 and 200-600
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROJECT GOAL/ FUNCTION ITEM DESCRIPTION UNIT COST QUANTITY GRANT REQUEST OBJECTIVE/ & (UC) (Q) AMOUNT ACTIVITY OBJECT (GR) CODE
Final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 13 BUDGET DETAIL FORM E Date: ______Equipment Function & Object Codes 400-731 and 400-732
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROJECT GOAL/ FUNCTION ITEM DESCRIPTION UNIT COST QUANTITY GRANT REQUEST OBJECTIVE/ & (UC) (Q) AMOUNT ACTIVITY OBJECT (GR) CODE
Final – 10/00 Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Date: ______APPENDIX 13 Standard Competitive Application (SCA) BUDGET DETAIL FORM F Other Purchased Services, Other Objects, Purchased Property Services, Travel, Indirect Costs, Buildings Function & Object Codes 100-500, 100-800, 200-400, 200-500, 200-580, 200-800, 200-860, 400-720
st NGO TITLE: 21 Century Community Learning Centers Program Check box if this is a subgrantee form and identify subgrantee below.
APPLICANT (LEAD) AGENCY: SUBGRANTEE: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROJECT FUNCTION DESCRIPTION/COST CALCULATION GRANT REQUEST AMOUNT GOAL/ & OBJECTIVE/ OBJECT ACTIVITY CODE
Final – 10/00 NOTE: Complete this form only when requesting subgrants as part of the budget. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) NJ DEPARTMENT OF EDUCATION SUBGRANT BUDGET SUMMARY Applicant (Lead) Agency: ______CO/Lead Agency Code: ______/ ______NGO Title: _ 21 st Century Community Learning Centers Program______NGO#: ______FUNCTION TOTAL ADMIN. BUDGET CATEGORY & Subgrantee: Subgrantee: Subgrantee: Subgrantee: Subgrantee: Sum of all subgrant COST OBJECT ______CODE columns SUMMARY INSTRUCTION Personal Services - Salaries 100-100 Purchased Prof. & Tech Svcs. 100-300 Other Purchased Services 100-500 Supplies and Materials 100-600 Other Objects 100-800 SUBTOTAL - INSTRUCTION SUPPORT SERVICES Personal Services - Salaries 200-100 Personal Svcs. - Emp. Benefits 200-200 Purchased Prof. & Tech Svcs. 200-300 Subgrant Cost Summary 200-320 Purchased Property Svcs 200-400 Other Purchased Services 200-500 Travel 200-580 Supplies and Materials 200-600 Other Objects 200-800 Indirect Costs 200-860 SUBTOTAL - SUPPORT SERVICES FACILITIES ACQUISITION & CONSTR. SVCS Buildings 400-720 Instructional Equipment 400-731 Noninstructional Equipment 400-732 SUBTOTAL - FACILITIES TOTAL COST TOTAL AMOUNT OF SUBGRANTEE MATCHING FUNDS COMMITTED TO THIS PROJECT*: final – 10/00 *Complete only when there is a matching funds requirement in the NGO. $ ______Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) NJ DEPARTMENT OF EDUCATION APPLICATION FOR FUNDS - BUDGET SUMMARY
Applicant (Lead) Agency: CO/Lead Agency Code: __ __ / ______
NGO Title: 21 st Century Community Learning Centers Program NGO#: ______
FUNCTION GRANT FUNDS REQUESTED TOTAL ADMIN. & BUDGET CATEGORY STATE FEDERAL OTHER Sum of columns COST OBJECT 1-3 SUMMARY CODE FUNDS FUNDS FUNDS (Column 1) (Column 2) (Column 3) (Column 4) (Column 5) INSTRUCTION
Personal Services - Salaries 100-100 Purchased Professional & Technical Services 100-300 Other Purchased Services 100-500 Supplies and Materials 100-600 Other Objects 100-800 SUBTOTAL - INSTRUCTION SUPPORT SERVICES
Personal Services - Salaries 200-100 Personal Services – Employee Benefits 200-200 Purchased Professional & Technical Services 200-300
Subgrant Cost Summary 200-320 Purchased Property Services 200-400 Other Purchased Services 200-500
Travel 200-580 Supplies and Materials 200-600 Other Objects 200-800
Indirect Costs 200-860 SUBTOTAL - SUPPORT SERVICES FACILITIES ACQUISITION & CONSTR. SVCS
Buildings 400-720 Instructional Equipment 400-731 Noninstructional Equipment 400-732 SUBTOTAL - FACILITIES
TOTAL COST
TOTAL AMOUNT OF MATCHING FUNDS COMMITTED TO THIS PROJECT*: $ ______*Complete only when there is a matching funds requirement in the NGO.
______final – 10/00 Business Administrator/Chief Fiscal Officer Date Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 14
BOARD RESOLUTION TO APPLY
2008-2009
FY NGO# WKL
The ______Board* hereby certifies that permission has been
granted to apply for the discretionary grant program entitled:
______
for the purposes described in the application, in the amount of,
$______.00,
starting on ______, and
ending on ______.
The filing of this application was authorized at the Board meeting held on,
______, 20__
______Secretary of the Board*
______, 20__ *For applicants that do not have a Board of Education, Board of Directors, or other similar governing body, the applicant should identify the body or individual who is legally authorized to approve the agency’s application for grant funds. Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) APPENDIX 15
NEW JERSEY DEPARTMENT OF EDUCATION STATEMENT OF ASSURANCES
2008-2009
As the duly authorized chief school administrator/chief executive officer of the applicant agency, I am aware that submission to the Department of Education of the accompanying application constitutes the creation of a public document, and I certify that the applicant:
Has the legal authority to apply for the funds made available under the requirements of the NGO, and has the institutional, managerial and financial capacity (including funds sufficient to pay the non-federal/state share of project costs) to ensure proper planning, management and completion of the project described in this application.
Will give the New Jersey Department of Education, or its authorized representatives, access to, and the right to examine, all records, books, papers, or documents related to the award and will establish a proper accounting system in accordance with generally accepted accounting principles (GAAP).
Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes, or presents the appearance of, personal or organizational conflict of interest, or personal gain.
Will comply with provisions of the Public School Contracts Law: N.J.S.A. 18A:18A, and other relevant state laws and regulations.
Is in compliance, for all grant awards in excess of $100,000.00, with the Byrd Anti-Lobbying amendment, incorporated at Title 31 U.S.C. 1352. This certification extends to all lower tier grantees as well.
As well as its principals and subgrantees, for all grant awards in excess of $25,000.00, is not presently debarred, proposed for debarment, declared ineligible, suspended, or voluntarily excluded by any federal agency from receiving federal funds in accordance with Executive Orders 12549 and 12689.
Will comply with Section 6002 of the Resource Conservation and Recovery Act (RCRA), P.L. 94-580, codified at 42 U.S.C. 6962 if the applicant is an entity of state and/or local government and will give preference to the purchase of recycled materials identified in U.S. EPA guidelines (40 CFR Part 247-254). Applicant Agency: ______Page _____ of _____ 21st CENTURY COMMUNITY LEARNING CENTERS PROGRAM Standard Competitive Application (SCA) Will comply with all federal and state statutes and regulations relating to nondiscrimination. These include, but are not limited to:
(A) Title VI of the Civil Rights Act of 1964 (P.L 88-352; 34 CFR Part 100) which prohibits discrimination on the basis of race, color or national origin;
(B) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686; 34 CFR Part 106), which prohibits discrimination on the basis of sex;
(C) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794; 34 CFR Part 104), which prohibits discrimination on the basis of handicaps;
(D) Section 503 of the Rehabilitation Act of 1973, as amended (41 CFR Parts 61-741.5(a)), as applicable, which requires affirmative action in employment;
(E) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.; 45 CFR Part 90), which prohibits discrimination on the basis of age, and
(F) the Americans With Disabilities Act of 1990, as amended (P.L. 101-336), which guarantees equal opportunity for individuals with disabilities.
Will comply with Executive Order 11246, “Equal Employment Opportunity,” dated September 24, 1965, as amended by Executive Order 11375, dated October 13, 1967, and as supplemented by the regulations at 41 CFR Part 60.
Will comply with the provisions of the Drug-Free Workplace Act of 1988, as implemented at 34 CFR Part 85, Subpart F, for grantees, as defined at 34 CFR Part 85, Sections 85.605 and 85.610.
Will comply with the provisions of the Drug Free Schools and Communities Act Amendments of 1989, as implemented at 34 CFR Part 86, Subparts A-E (institutions of higher education only).
______Applicant Agency Signature: Chief School Administrator or Chief Executive Officer
______Date Typed Name and Title NEW JERSEY DEPARTMENT OF EDUCATION NOTICE OF GRANT OPPORTUNITY - TITLE PAGE SECTION I: 08 EK12 H05 FY NGO# WKL TITLE OF NGO: 21 st Century Community Learning Centers Program Competitive Grant: Cohort 5 – Year 1/5 DIVISION: Student Services OFFICE: Educational Support Services
SECTION II: COUNTY: LEA/OTHER: SCHOOL: COUNTY NAME:______
APPLICANT AGENCY
AGENCY ADDRESS
CITY STATE ZIP ( ) ( ) AGENCY TELEPHONE NUMBER AGENCY FAX #
SCHOOL NAME
PREVIOUS FUNDING: Agency received funding from the NJ Department of Education within the last two years of submission of this application. YES NO PROJECT DIRECTOR (Please print or type name): ______
TELEPHONE NUMBER: (____)______FAX#: (____)______E-MAIL______
BUSINESS MANAGER: ______PHONE#: (____)______E-MAIL______
DURATION OF PROJECT: FROM: 09/01/08 TO: 08/31/09
TOTAL AMOUNT OF FUNDS REQUESTED: $______
APPLICATION CERTIFICATION: To the best of my knowledge and belief, the information contained in the application is true and correct. The document has been duly authorized by the governing body of this agency and we will comply with the attached assurances if funding is awarded. I further certify the following is enclosed: AGENCY TITLE PAGE SIGNED STATEMENT OF ASSURANCES BOARD RESOLUTION TO APPLY APPLICATION NARRATIVE* BUDGET SUMMARY AND BUDGET DETAIL FORMS* ORIGINAL AND FOUR COPIES OF THE COMPLETE APPLICATION PACKAGE ______SIGNATURE OF CHIEF SCHOOL ADMINISTRATOR TITLE DATE OR EQUIVALENT OFFICER ______(Please print or type name)
*FAILURE TO INCLUDE A REQUIRED APPLICATION COMPONENT CONSTITUTES A VIOLATION OF THE NGO AND WILL RESULT IN THE APPLICATION BEING ELIMINATED FROM CONSIDERATION (See NGO Section 3.3 for itemized list). SECTION III: SEND OR DELIVER APPLICATIONS TO: APPLICATIONS MUST BE RECEIVED BY: NEW JERSEY DEPARTMENT OF EDUCATION APPLICATION CONTROL CENTER 4:00 P.M., ON 04/24/08 RIVER VIEW EXECUTIVE PLAZA BLDG. 100, ROUTE 29 – PO Box 500 TRENTON, NJ 08625-0500 NO FACSIMILE SUBMISSION WILL BE ACCEPTED. NO LATE APPLICATIONS WILL BE ACCEPTED REGARDLESS OF THE DATE POSTMARKED. NO ADDITIONAL MATERIALS CAN BE SUBMITTED AFTER RECEIPT OF THIS APPLICATION.